Anti-Reflux Surgery I: Fundoplications

Surgical management of gastroesophageal reflux disease (GERD) has significantly increased since the inception of minimally invasive surgery. Compared to medical management with proton pump inhibitors, anti-reflux operations result in significantly less acid exposure and increased lower esophageal sphincter pressure. The fundoplication has been the most common anti-reflux operation performed for the management of refractory GERD and has evolved considerably over time. There are several types of fundoplication, each of which has its own advantages and disadvantages. This chapter is designed to provide an evidence-based overview of fundoplications, highlighting important differences between the different types, their benefits, outcomes, and complications.